EP1148824A1 - Dispositif a arbre flexible pour prelever des copeaux d'os - Google Patents

Dispositif a arbre flexible pour prelever des copeaux d'os

Info

Publication number
EP1148824A1
EP1148824A1 EP00901020A EP00901020A EP1148824A1 EP 1148824 A1 EP1148824 A1 EP 1148824A1 EP 00901020 A EP00901020 A EP 00901020A EP 00901020 A EP00901020 A EP 00901020A EP 1148824 A1 EP1148824 A1 EP 1148824A1
Authority
EP
European Patent Office
Prior art keywords
cutting head
cutting
shaft
longitudinal axis
container
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP00901020A
Other languages
German (de)
English (en)
Other versions
EP1148824B1 (fr
Inventor
Béatrice STEINER
Markus Hehli
Max McGill University AEBI
Thomas Steffen
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Synthes GmbH
Original Assignee
Synthes AG Chur
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Synthes AG Chur filed Critical Synthes AG Chur
Publication of EP1148824A1 publication Critical patent/EP1148824A1/fr
Application granted granted Critical
Publication of EP1148824B1 publication Critical patent/EP1148824B1/fr
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613—Component parts
    • A61B17/1631—Special drive shafts, e.g. flexible shafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1635—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for grafts, harvesting or transplants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A61B10/025—Pointed or sharp biopsy instruments for taking bone, bone marrow or cartilage samples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B2017/1602—Mills
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/005—Auxiliary appliance with suction drainage system

Definitions

  • the invention relates to a device for extracting bone chips according to the preamble of claim 1.
  • Implanting the body's own bone remains the most efficient treatment for failing to heal a broken bone
  • These devices reliably remove the bone material and can be used with a drill, thereby gaining a larger amount and a better control option and minimizing accidental piercing through the cortex.
  • This safe and effective technique enables the body's own bone chips to be extracted for fusions, pseudoarthrosis and fractures with minimal injury to the donor.
  • the bone chips on the patient's body are usually removed on the pelvic bone.
  • Bone material that can also be used can be obtained proximally on the ulna or distally on the radius.
  • Such a device for extracting bone material is known, for example, from WO 97/39685 YUAN.
  • This known device comprises a rigid hollow cylindrical and transparent shaft, in which the bone chips be collected and because of the transparency, the amount of bone chips can be seen at a single glance, a cutting head at one end and means for absorbing torque at the other end of the shaft.
  • the device is simply screwed into the bone, whereby the cutting head cuts the bone and removed
  • the bone chips are received and collected in the cavity in the shaft.
  • the collected bone chips are removed from the shaft by means of a piston which is inserted into the cavity from the end of the shaft opposite the cutting head.
  • the device can be driven by hand or by rotation machine
  • Another such device for obtaining bone material is known from US 5,556,399 HUEBNER.
  • This known device also comprises a drill head with a rigid hollow cylindrical shaft adjoining it, in which the cooking chips are collected and then removed again from the cavity by a manually operated piston to be inserted from the drill head become
  • a method and a device for obtaining tissue is known from US 5,403,317 BONUTTI.
  • This known invention comprises a device for percutaneous tissue extraction and consists of a flexible drill shaft with respect to bending and means for driving the shaft. To cut tissue fragments out of the tissue is at the front of the shaft a cutting tip attached The tissue fragments are sucked through the shaft to a location outside the body during the cutting process by means of a negative pressure
  • the object of the invention is to develop a device which allows the Clear out cancellous bone between the cortex without cutting or breaking the harder cortex
  • the invention achieves the stated object with a device for extracting bone chips, which has the features of claim 1
  • the device according to the invention comprises a hollow-cylindrical cutting tool with a hollow-cylindrical cutting head, which can have differently shaped drilling tips and cutting edges, a hollow-cylindrical shaft with means for clamping the shaft in a drive device, and a drive device, which can consist, for example, of a universal drilling machine.
  • the hollow-cylindrical design of the cutting head and the shank enables the bone chips removed from the cutting head to be taken up from the cancellous bone in the bore inside the hollow cylinder.
  • the shank attached to the cutting head is elastically deformable with respect to torsion and / or bending
  • This deformability can be produced by designing the shaft as a spirally wound metal sheet band, as a plastic or rubber hose reinforced with wire reinforcement or as a metal tube with a bellows-like side wall
  • the drill tip of the cutting head is preferably designed as a sector of a spherical cap with a cutting edge.
  • a special embodiment of the cutting head then consists in that the drilling tip of the cutting head is designed in the shape of a spherical cap with at least two through openings which extend coaxially and radially to the longitudinal axis into the cavity, with cutting edges for removing bone chips being attached to the edges of the through openings and the removed bone chips through them Through openings in the cavity of the cutting head are required
  • connection between the cutting head and the shaft is conceivable as a detachable or fixed connection, whereby a detachable connection enables a smaller tool set.
  • Screw connections, radial stud bolts or radial pin connections are possible as a detachable connection
  • a container with a vacuum is attached to the drive device in such a way that the hollow cylindrical cutting tool ends in the container with its end remote from the cutting head, as a result of which the bone chips are easily inserted into the container by means of the vacuum through the hollow cylindrical cutting tool Containers are required and can be collected in the container
  • a socket is attached to the container for connecting a vacuum hose.Through the vacuum created in this way, the bone chips are sucked through one or more through openings in the cutting head into the hole in the shaft and from there through the The entire cutting tool is pushed into the container so that the bone chips do not get into the vacuum hose, there is a separator in the container for separating the bone chips from the air flow.
  • This separator can be used as a filter, sieve or Praliplate or cyclone
  • This embodiment of the device according to the invention allows the bone chips to be challenged through the shank without removing the drilling tool from the borehole from the drill tip and can be collected in a container directly connected to the drilling tool.
  • the container can be removed from the device and can be removed if required the bone chips can be easily removed from the container
  • the vacuum applied to the container comprises a pressure range from 0 bar to 1 bar, but preferably a pressure range from 0.2 bar to 0.8 bar
  • a rubber or plastic hose is preferably drawn into this hole to seal the hole in the shaft of the cutting tool which is under vacuum
  • FIG. 1 is a view of the cutting tool with the flexible shaft according to an embodiment of the device according to the invention
  • FIG. 2 is a perspective view of the cutting head with the flexible shaft of an embodiment of the device according to the invention
  • FIG. 3 shows a schematic representation of an embodiment of the device according to the invention.
  • FIG. 4 shows a schematic representation of a further embodiment of the device according to the invention
  • the shaft 8 comprises an elastic with respect to torsion and / or bending deformable part 22 and a part 11 provided with means 13 for receiving a torque and removed from the cutting head 1.
  • the means 13 consist of a section 25 with an external hexagon and an adjoining cylindrical section 27 with a groove 26.
  • the two sections 25 and 27 leave Clamp into corresponding clamping means 15 (FIG. 3) on a drive means 14 (FIG. 3), the shaft 8 being releasably fixable axially by means of the groove 26 and rotatably in the clamping means 15 (FIG. 3) through the external hexagon.
  • the bore 10 in the hollow cylindrical shaft 8 penetrates the shaft 8 in the direction of the longitudinal axis 2 from the cutting head 1 to the end 21 of the shaft 8 remote from the cutting head 1, so that the bone chips removed from the cutting head 1 can be conveyed along the longitudinal axis 2 through the entire cutting tool 16 are.
  • locking screws or, for example, spring pins between the shaft 8 and the cutting head 1 are also conceivable.
  • the elastically deformable part 22 of the shaft 8 is made from a spirally wound metal strip, a rubber or plastic tube 36 (FIG. 4) being inserted in the bore 10, which guarantees an airtight seal in the bore in the tube 36 with respect to the surroundings.
  • the cutting head 1 is designed as a hollow cylinder with a longitudinal axis 2 and a drilling tip 20 and comprises a front section 4 adjoining the drilling tip 20 and a rear section 5 removed from the drilling tip 20.
  • the front section 4 consists of a hollow cylinder with a drill tip 20 designed as a spherical cap sector, the side wall of the front section 4, viewed in cross section at right angles to the longitudinal axis 2, only including a circular ring sector, so that a through opening 7 running radially to the hollow cylindrical part and axially to the drill tip 20 is created.
  • the side wall of the front section 4 is designed as a cutting edge 3 from the drill tip 20 to the rear section 5 against the through opening 7.
  • the cutting tool 16 which is used to obtain the bone chips, consists of a cutting head 1 with a hollow cylindrical shaft 8 extending along a longitudinal axis 2.
  • This shaft 8 is in clamping means 15 of a serving as drive means 14 Universal drilling machine 30 axially and rotationally fixed
  • the drive means 14 imparts a rotational movement about the longitudinal axis 2 to the shaft 8 with the cutting head 1, whereby the cutting head 1 drills into the bone and removes the bone chips to be collected.
  • the shaft 8 is from the cutting head 1 up to its end 21 remote from the cutting head 1 has a hollow cylindrical design, so that the bone chips can be demanded along the entire length of the cutting tool 16.
  • a container serving as a holder 17 for the bone chips.
  • the holder 17 is coaxial with the longitudinal axis 2 with its
  • the front end 24 is detachably attached to the drive means 14 so that the end 21 of the cutting tool 16 remote from the cutting head 1 opens airtightly into the container 17 with respect to the surroundings
  • a vacuum tube (not shown) can be connected.
  • the container 17 is also evacuated by the vacuum in the tube, which creates a negative pressure inside the hollow cylindrical cutting tool 16 and thus the bone chips removed by the cutting head 1 are sucked through the interior of the shaft 8 and into the Containers 17 arrive where they can then be collected so that the bone chips are not torn into the vacuum hose by the vacuum, a separator 19, which in the preferred embodiment is designed as a filter, is attached in the container 17 in such a way that the Bone chips cannot exit through the connector 18
  • FIG. 4 shows a further preferred embodiment of the device according to the invention.
  • This embodiment of the device according to the invention shown here differs from the embodiment shown in FIG. 3 only in that the cutting tool 16 passes through the container 17 arranged coaxially to the longitudinal axis 2 and the means 13 for Recording a torque output by the universal drilling machine 30 are releasably connected to the universal drilling machine 30 in the region of the container bottom 33 removed from the cutting head 1.
  • the container 17 is releasably attached to the universal drilling machine 30 with its container bottom 33.
  • a bearing housing 34 is mounted in the container 17, in which the cutting tool 16 is mounted with respect to its rotational movement about the longitudinal axis 2, for example by means of ball bearings 35, and the container (17) is sealed from the environment by means of an annular seal (37).
  • the connector 18 is attached to the side wall of the container 17 for connecting a vacuum hose.
  • a rubber or plastic hose 36 is inserted along its longitudinal axis 2 in its bore 10.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Dentistry (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Transplantation (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
EP00901020A 1999-02-02 2000-01-31 Dispositif a arbre flexible pour prelever des copeaux d'os Expired - Lifetime EP1148824B1 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE29901724U 1999-02-02
DE29901724U DE29901724U1 (de) 1999-02-02 1999-02-02 Vorrichtung mit flexibler Welle zur Gewinnung von Knochenspänen
PCT/CH2000/000047 WO2000045713A1 (fr) 1999-02-02 2000-01-31 Dispositif a arbre flexible pour prelever des copeaux d'os

Publications (2)

Publication Number Publication Date
EP1148824A1 true EP1148824A1 (fr) 2001-10-31
EP1148824B1 EP1148824B1 (fr) 2007-08-08

Family

ID=8068779

Family Applications (1)

Application Number Title Priority Date Filing Date
EP00901020A Expired - Lifetime EP1148824B1 (fr) 1999-02-02 2000-01-31 Dispositif a arbre flexible pour prelever des copeaux d'os

Country Status (11)

Country Link
EP (1) EP1148824B1 (fr)
JP (1) JP4156806B2 (fr)
CN (2) CN1338911A (fr)
AT (1) ATE369076T1 (fr)
AU (1) AU758769B2 (fr)
CA (1) CA2371761C (fr)
DE (2) DE29901724U1 (fr)
ES (1) ES2290009T3 (fr)
NZ (1) NZ513134A (fr)
WO (1) WO2000045713A1 (fr)
ZA (1) ZA200105287B (fr)

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US6764452B1 (en) 1999-11-23 2004-07-20 Nuvasive, Inc. Bone graft harvester
US6852126B2 (en) 2000-07-17 2005-02-08 Nuvasive, Inc. Stackable interlocking intervertebral support system
US7918891B1 (en) 2004-03-29 2011-04-05 Nuvasive Inc. Systems and methods for spinal fusion
US9247952B2 (en) 2004-10-15 2016-02-02 Amendia, Inc. Devices and methods for tissue access
US9101386B2 (en) 2004-10-15 2015-08-11 Amendia, Inc. Devices and methods for treating tissue
US7857813B2 (en) 2006-08-29 2010-12-28 Baxano, Inc. Tissue access guidewire system and method
US8048080B2 (en) 2004-10-15 2011-11-01 Baxano, Inc. Flexible tissue rasp
US20110004207A1 (en) 2004-10-15 2011-01-06 Baxano, Inc. Flexible Neural Localization Devices and Methods
US20110190772A1 (en) 2004-10-15 2011-08-04 Vahid Saadat Powered tissue modification devices and methods
US20100331883A1 (en) 2004-10-15 2010-12-30 Schmitz Gregory P Access and tissue modification systems and methods
US8328851B2 (en) 2005-07-28 2012-12-11 Nuvasive, Inc. Total disc replacement system and related methods
US8062298B2 (en) 2005-10-15 2011-11-22 Baxano, Inc. Flexible tissue removal devices and methods
US8366712B2 (en) 2005-10-15 2013-02-05 Baxano, Inc. Multiple pathways for spinal nerve root decompression from a single access point
US7758556B2 (en) 2006-03-23 2010-07-20 Perez-Cruet Miguelangelo J Device for collecting bone material during a surgical procedure
USD741488S1 (en) 2006-07-17 2015-10-20 Nuvasive, Inc. Spinal fusion implant
US8673005B1 (en) 2007-03-07 2014-03-18 Nuvasive, Inc. System and methods for spinal fusion
US8192436B2 (en) 2007-12-07 2012-06-05 Baxano, Inc. Tissue modification devices
US8083796B1 (en) 2008-02-29 2011-12-27 Nuvasive, Inc. Implants and methods for spinal fusion
DE102008020178A1 (de) * 2008-04-22 2009-11-05 Gebr. Brasseler Gmbh & Co. Kg Knochenspanbohrer
US9314253B2 (en) 2008-07-01 2016-04-19 Amendia, Inc. Tissue modification devices and methods
USD754346S1 (en) 2009-03-02 2016-04-19 Nuvasive, Inc. Spinal fusion implant
US9387090B2 (en) 2009-03-12 2016-07-12 Nuvasive, Inc. Vertebral body replacement
US9687357B2 (en) 2009-03-12 2017-06-27 Nuvasive, Inc. Vertebral body replacement
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CA2760925A1 (fr) * 2009-05-04 2010-11-11 Baxano, Inc. Dispositifs et procedes de modification de tissus
USD731063S1 (en) 2009-10-13 2015-06-02 Nuvasive, Inc. Spinal fusion implant
AT509761B1 (de) * 2010-04-29 2012-10-15 Mario Dr Wieser Knochenbiopsiefräser
CN102335032B (zh) * 2010-07-26 2013-04-10 张文开 取骨装置
US10178988B2 (en) * 2011-09-23 2019-01-15 Depuy Mitek, Llc Compliant inserter for implants
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Also Published As

Publication number Publication date
CN101836876A (zh) 2010-09-22
AU2089600A (en) 2000-08-25
CN1338911A (zh) 2002-03-06
ES2290009T3 (es) 2008-02-16
DE29901724U1 (de) 2000-06-29
CN101836876B (zh) 2011-11-02
ATE369076T1 (de) 2007-08-15
EP1148824B1 (fr) 2007-08-08
NZ513134A (en) 2003-09-26
ZA200105287B (en) 2002-02-21
JP2002537007A (ja) 2002-11-05
WO2000045713A1 (fr) 2000-08-10
JP4156806B2 (ja) 2008-09-24
CA2371761A1 (fr) 2000-08-10
DE50014543D1 (de) 2007-09-20
CA2371761C (fr) 2009-05-12
AU758769B2 (en) 2003-03-27

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